Provider Demographics
NPI:1689618902
Name:NEW ENGLAND AMBULANCE SERVICE INC.
Entity Type:Organization
Organization Name:NEW ENGLAND AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VERNANCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-421-1859
Mailing Address - Street 1:PO BOX 8627
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-0627
Mailing Address - Country:US
Mailing Address - Phone:401-421-1859
Mailing Address - Fax:401-421-2553
Practice Address - Street 1:37 MANUEL AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3906
Practice Address - Country:US
Practice Address - Phone:401-421-1859
Practice Address - Fax:401-421-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1719882OtherMASS HEALTH PROV ID #
RI202988OtherBC/BS COORDINATED PR ID#
RI9009957Medicaid
RI5990006076OtherRAILROAD MEDICARE PROV #
RI53900OtherNEIGHBORHOOD HLT ID #
RI590006076OtherPALMETTO PROV ID #
RI9957-2OtherBC/BS
RI9009957Medicaid